A client is admitted and is placed on fall precautions. The nurse teaches the client and family about fall precautions. Which action will the nurse take to promote client safely?

A. Encourage visitors in the early evening: Increased visitor activity, especially in the evening, can contribute to overstimulation and confusion in hospitalized clients, particularly older adults. This may increase the risk of falls, especially in those experiencing sundowning or delirium. While family presence can be supportive, it is not a primary fall-prevention strategy. B. Keep the client on fall risk precautions until discharge: Fall precautions should remain in place for as long as the client is at risk, which is often throughout hospitalization unless reassessment shows improvement. Continuous implementation of safety measures such as call light accessibility, non-slip footwear, and frequent monitoring reduces fall incidence and aligns with evidence-based fall prevention protocols. C. Check on the client once a shift: Monitoring a high fall-risk client only once per shift is insufficient and unsafe. Evidence-based practice supports frequent rounding (e.g., hourly rounding) to assess needs such as toileting, positioning, and pain, all of which are major contributors to fall risk if unaddressed. D. Place all four side rails in the "up" position: Raising all four side rails is considered a form of physical restraint and can increase injury risk if the client attempts to climb over them. Best practice is to use the least restrictive measures, such as keeping two side rails up and ensuring the bed is in the lowest position with brakes locked.